Individual
DR. GREGORY MARK CLOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 OLD LANCASTER RD, SUITE 206, BRYN MAWR, PA 19010-3118
(610) 525-8110
Mailing address
830 OLD LANCASTER RD, SUITE 206, BRYN MAWR, PA 19010-3118
(610) 525-8110
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD038267L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012981000002
PROMISE ID #
PA
05
—
0012986000002
—
PA
01
—
098735
BLUE SHIELD
PA
01
—
390002631
TRVP #
PA
Enumeration date
07/25/2006
Last updated
09/04/2020
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